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How is a vasectomy reversal performed?

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Urologists generally perform vasectomy reversals in an ambulatory surgery center or outpatient unit of a hospital under general anesthesia. The procedure involves cutting an opening through the scrotum to reattach the sperm duct cut by the surgeon during the vasectomy. According to Urology Care Foundation, 70 to 90 percent of patients have sperm return to the semen and 35 to 75 percent of their female partners become pregnant.

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The success rate of vasectomy reversals is highly dependent on the time that elapses between the original vasectomy and the reversal, notes WebMD. The procedure takes from two to four hours but requires more time if the surgeon must clear a blockage between the vas deferens and the epididymis. Patients usually go home the same day after about three hours in the recovery room. They return to their normal activities within three weeks.

As of 2014, the Urology Care Foundation reports the cost of vasectomy reversal as between $5,000 and $15,000, which is less expensive than the alternative in vitro fertilization techniques that cost between $12,000 and $17,000. The reversal also offers the advantage of subsequent pregnancies without additional in vitro costs. When considering this surgery, couples should have a gynecologist test the female partner to ensure she is still ovulating.

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